The Impact of DRG-Based Budgeting on Inpatient Psychiatric Care in Veterans Administration Medical Centers
Bibliographic Data
| ID | 9099080 |
|---|---|
| Authors | Robert Rosenheck (0000-0003-4314-4592, United States Department of Veterans Affairs, corresponding author), Louis Massari (United States Department of Veterans Affairs), Boris M Astrachman (Yale University, corresponding author) |
| Year | 1990 |
| Volume | 28 |
| Issue | 2 |
| Pages | 124-134 |
| Publication date | 1990-02-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199002000-00003 |
| PMID | 2105414 |
| OpenAlex | W2080170693 |
| Language | EN |
| Citations received | 8 |
| References cited | 1 |
In 1985 the Veterans Administration (VA) implemented a prospective budgeting system for acute inpatient care based on diagnosis-related groups (DRGs). To assess the impact of this system on psychiatric care, this study reviewed data on all VA discharges for psychiatric or substance abuse disorders that occurred during the four years before and the four years after this system was implemented. During the four years following the implementation of DRG-based budgeting the number of annual discharges increased by 28.7% and the number of unique patients discharged increased by 15.5%. Average lengths of stay declined by 36.9% and total annual bed days of care per unique patient declined by 29.7%. These changes occurred in association with an 11.5% reduction in the total number of beds occupied by psychiatric patients, an 8.9% reduction in direct per diem expenditures for psychiatric care nationally, and a 32.7% decline in direct expenditures per episode, after adjustment is made for inflation. In spite of a continuing decline in the value of the available resources, largely due to the effect of inflation, prospective budgeting appears to have had a major impact on the pattern of inpatient psychiatric care in this large health care system
Administration (probate law) · Health care · Inpatient care · Prospective cohort study · Prospective payment system · Psychiatry · Substance abuse · Emergency Medicine · Healthcare Policy and Management · Medicine · Psychiatric care and mental health services · Surgery
Changes in VA Hospital Use 1980-1990
Factors Associated with Rapid Readmission Among Nevada State Psychiatric Hospital Patients
Single and Repeated Admissions to a Mental Health Center
A State-of-the-Art Conference on Databases Pertaining to Veterans' Health
More or Less
Impact of an All-Inclusive Diagnosis-Related Group Payment System on Inpatient Utilization
The Veterans Affairs Medical Care System
Agreement Between Administrative Files and Written Medical Records
| Unique citing works | 8 |
|---|---|
| Citations per year | 0,23 |
| Citation span | 1991 - 2018 (28) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |